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REPUBLIC OF THE PHILIPPINES)

CITY OF ) S.S.
x------------------------------------x

AFFIDAVIT OF CHANGE COLOR

I,Cedric Ropa Caldit, of legal age, Filipino, (single/married/widow) and a resident


of Blk 1 Lot 29 Westwood Homes Alapan 1B,Imus Cavite , after having been
duly sworn to in accordance with law, depose and state THAT:

1. I am the registered owner of a motor vehicle which is particularly described as


follows:

Make & Type : 1997 HONDA CIVIC 1.5 LXI MT


Motor Number :PH15A-1003175
Chassis Number : PHS04-1B6198
Plate Number : WAY 218
MV File No. : 1320-159755
Year Model : 1997
Color : WHITE

2. The original color of the said motor vehicle was "RED";

3. When the paint of the above-described motor vehicle had faded, I had its color
repainted to " White" such that the color of the said motor vehicle was changed
from "Red" to "White";

4. Said change of color is not intended for any illegal or unlawful purpose but
solely due to the foregoing reasons;

5. I am executing this Affidavit to attest to the truth of the foregoing and in


support of the application for the change of color of the above-described motor
vehicle on its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand


this ___________________ in _____________, Metro Manila, Philippines.

CEDRIC R. CALDIT
Affiant
SSS ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiant exhibiting to me his/her competent
evidence of identity by way of __________________ issued at ______________
on __________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2013.

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